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Table 2 Primary care physician rates of preventive service-related practicessa implemented via enhanced academic detailing intervention (N = 168)

From: Implementing academic detailing for breast cancer screening in underserved communities

 

Intervention

Comparison

 
 

M (SD)%

M (SD)%

p-value b

Acquiring information c

   Participating in seminars or conferences on breast cancer detection

7.

0

0.002

Physician self-efficacy d

   Confidence that counseling patients about health behavior and lifestyle to result in their successfully modifying their behaviors

1.96 (0.82)

2.71 (0.88)

< 0.0001

Office-based tools and techniques e

   Using lists or flow sheets in patients' charts

33

34

0.01

   Using card files or other paper tickler systems

14

17

0.05

   Using notices or stickers on patients' charts

20

8

0.02

   Using computerized tracking or prompting services

6

0.6

0.02

   Reminder notices given or mailed to patients

26

16

0.16

   Patient-held mini-records of preventive services

10

10

0.98

   Performance targets for mammographyc

52

8

0.009

   Performance targets for clinical breast exams

44

6

0.57

Patient Education e

   Using pamphlets or other printed materials

44

41

0.03

   Using wall posters or other graphic displays

41

38

0.04

   Using video or slide presentations

6

8

0.26

   Health risk appraisal instruments

7

4

0.80

Nursing or other office staff and the delivery of preventive services e

   Involving nursing or other office staff in tracking and prompting preventive care

18

7

0.03

   Involving nursing or other office staff in counseling patients about preventive services

19

5

0.001

  1. aCollected only at follow-up
  2. bTwo-sided tests comparing post test scores by arm using X2.
  3. cPercent of participants who report "yes."
  4. dLikert scale from 1–4, 1 = very confident 4 = not at all confident
  5. ePercent use routinely